Organization
DAVID EVDOKIMOW, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID Z EVDOKIMOW M.D. (PRESIDENT)
(908) 221-1136
Entity
Organization
Contact information
Practice address
96 SOUTH FINLEY AVE., BASKING RIDGE, NJ 07920
(908) 221-0482
(908) 221-0482
Mailing address
96 SOUTH FINLEY AVE., BASKING RIDGE, NJ 07920
(908) 221-0482
(908) 221-0482
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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